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1194120626
JOAN ELAINE BOURDON
WAKE FOREST, NC
NPI
1194120626
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Former Name
JOAN ELAINE SHALLCROSS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 14925)
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
Mrs. JOAN ELAINE BOURDON P.T.
900 S. FRANKLIN ST SUITE 201
WAKE FOREST, NC 27587-2797
Phone number: 919-556-1700
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Mailing Address
Mrs. JOAN ELAINE BOURDON P.T.
900 S. FRANKLIN ST SUITE 201
WAKE FOREST, NC 27587-2797
Phone number: 919-556-1700
Copy
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